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Arizona rates for HCPCS 99424

Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death, the condition requires development, monitoring, or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities, ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $66.07 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $91.20 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $70.79 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $87.10 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $144.54